IDABEL PV LLC
NPI: 1538876529
· IDABEL, OK 74745
· Optometrist
· NPI assigned 10/31/2022
Provider Details
| Authorized Official | GRASSIE, KAYLA (BILLING) |
| NPI Enumeration Date | 10/31/2022 |
Related Entities
Other providers sharing the same authorized official: GRASSIE, KAYLA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
399 |
$33K |
| 2024 |
270 |
$20K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
412 |
410 |
$49K |
| 92015 |
Determination of refractive state |
257 |
255 |
$5K |